Individual provider · Type 1 NPI

Jenna Nicole Caputo, PA-C

Physician Assistant · Brandon, FL

NPI number 1053109272 Active

Practice location

500 Vonderburg Dr Ste 115W
Brandon, FL 33511-5969

Mailing address

6169 30th Ave N
St. Petersburg, FL 33710-3335

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9120130 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053109272

Jenna Nicole Caputo, PA-C's National Provider Identifier is 1053109272, issued on Apr 28, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brandon, FL. The record was last updated on May 1, 2025.